Stephen Ellis, RN is a
Registered Nurse - Emergency based in Fort Eisenhower, Georgia. Stephen Ellis is licensed to practice in Wisconsin (license number 164543-30) and his current practice location is
250 40th St Bldg 39710, Fort Eisenhower, Georgia. He can be reached at his office (for appointments etc.) via phone at
(262) 271-6371.
NPI number for Stephen Ellis is 1174397194 and his current mailing address is 157 N 123rd St, Wauwatosa, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174397194.
Provider's Profile
Full Name | Stephen Ellis |
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Gender | Male |
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Speciality | Registered Nurse - Emergency |
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Location | 250 40th St Bldg 39710, Fort Eisenhower, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174397194
- Provider Enumeration Date: 11/09/2023
- Last Update Date: 11/09/2023
Medical Identifiers
Medical identifiers for Stephen Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174397194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 164543-30 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephen Ellis, RN 157 N 123rd St, Wauwatosa, WI 53226-3809 Ph: (262) 271-6371 | Stephen Ellis, RN 250 40th St Bldg 39710, Fort Eisenhower, GA 30905-5910 Ph: (262) 271-6371 |
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